<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <title>دروازه پرداخت آنلاين | قالب گراف</title>
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</head>
<body>
<div class="AllPage">
<div style="padding: 10px;">
<a href="http:/Ghalebgraph.ir"> <img src="http://up.ghalebgraph.ir/up/galebgraph/authors/hdesign/15/header.png"></a>
</div>
<table style="margin: auto;">
<tbody><tr>
<td valign="top">
<div class="FForm_bg"><div class="fform">
<form method="post" action="#" id="paymentform_page45">
<table><tbody><tr>
<td colspan="2" style="padding-bottom:10px;">
پرداخت توسط کليه کارت هاي شبکه شتاب
</td>
</tr><tr><td>مبلغ :</td><td>
<input type="text" name="cost" dir="ltr" class="enput" style="width:100px"> ريال </td></tr>
<tr><td>نام پرداخت کننده :</td><td>
<input type="text" name="username"> <i>*</i></td></tr><tr><td>ايميل :</td><td>
<input type="text" dir="ltr" name="email" class="enput"> <i>*</i></td></tr><tr><td>شماره موبايل :</td><td>
<input type="text" dir="ltr" name="tel" class="enput" maxlength="12"> <i>*</i></td></tr>
<tr><td>توضيحات :</td>
<td>
<input type="text" name="payfor" value="پرداخت هزينه بابت ..."> <i>*</i></td></tr><tr><td class="submit"></td><td>
<input type="submit" name="submit" style="font-family:tahoma" value="هدايت به بانک" class="sbtn"><input type="reset" value="بارگزاري مجدد" class="sbtn" /></td></tr></tbody>
</table>
</form>
</div>
</div>
<div class="info">
<div class="infop">
<p>
نام دروازه پرداخت : قالب گراف
</p>
<p>
نام پذيرنده : حمیدرضا جلیلیان
</p>
<p>
شماره حساب :123456789
</p>
<p>
شماره کارت :12345789
</p>
<p>
ايميل : Ghalebgraph.ir@Gmail.com
</p>
<p>
آدرس وب سايت : www.Ghalebgraph.ir
</p>
</div> </div>
<div style="text-align: center">
</div>
</td>
<td valign="top" style="padding-right:5px;">
<div class="Info_acceptor">
<table>
<tbody><tr>
<td colspan="0">
<center> <img src="http://up.ghalebgraph.ir/up/galebgraph/authors/hdesign/15/mellat-bank.gif"> </center> </td>
</tr>
</tbody></table>
</div>
<div style="margin-top:12px;">
</div>
</td>
</tr>
</tbody></table>
</div>
</body></html>
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